marsha_welch67
New
new to coding and have lots of catch up to do for the office. If claims are denied for timely filing do I have to write them off; doc says we can bill the patient. I didnt think that could be done. Help!
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Wiki peds coder
- Thread starter marsha_welch67
- Start date
hewitt
Expert
You have to write these off for Medicaid, and probably for other managed care plans. You will have to review what your contracts state for commercial carriers. It is in your best interest to review contract language for your top ten carriers anyway. This way you can pass on the detail to your doctor(s).
mcnaryk
Guru
timely filing denials
Hi Marsha-
My feelings on this are that if you are receiving timely filing denials simply because the office is so backlogged that claims were not sent out in time, you have to write these off. It wouldn't be fair to bill the patient for the office's shortcomings, whatever the reason may be. If you get a timely filing denial for a claim that the patient was late in getting the insurance info to you, then it's the patient's fault and I would bill them. I hope this helps!
Hi Marsha-
My feelings on this are that if you are receiving timely filing denials simply because the office is so backlogged that claims were not sent out in time, you have to write these off. It wouldn't be fair to bill the patient for the office's shortcomings, whatever the reason may be. If you get a timely filing denial for a claim that the patient was late in getting the insurance info to you, then it's the patient's fault and I would bill them. I hope this helps!
marsha_welch67
New
Peds coder
Yes, that helps. Thanks
Yes, that helps. Thanks